JeanAnne Johnson Talbert – Substance Abuse Among Medical Patients: A Hidden Truth

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JeanAnne Johnson Talbert – Substance Abuse Among Medical Patients: A Hidden Truth

• Pharmacology of abused substances
• Effective screening of medical patients for substance use disorders
• Assessment and treatment of withdrawal symptoms
• Emergency interventions
• Medical complications of substance use disorders

The typical med/surg nurse cares for 6 patients in a shift. Statistics indicate that 2 of those patients have an underlying substance use disorder. Are you prepared to deal with withdrawal symptoms? Do you know how to assess for them?

A patient is recovering from his knee surgery and is reporting 10/10 pain. This seems impossible to you, as you have given him 20mg of IV Dilaudid. You think to yourself, “He should be apneic with that much Dilaudid!” How is this patient requiring so much opiate analgesia – and how much can you really give him?

A patient is admitted to the hospital for a leg abscess. She reports that she was bitten by a spider and it continued to get worse. She is receiving IV antibiotics. As you assess her, you notice strange looking vein patterns – almost as if her veins were black beneath the skin. Later in your shift, she begins sweating profusely, has diarrhea and begins yelling that her skin is crawling and her joints hurt tremendously. What is going on with her?

With the pervasive problems our society has with substance abuse, it is imperative that healthcare professionals have skill to meet the physical and psychological needs of those trusted to our care. JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP, will draw from her vast expertise during this practice-changing one-day event.

Speaker
JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP
With over 25 years in the medical field, Dr. JeanAnne Johnson Talbert is a Psychiatric/Mental Health Nurse Practitioner that specializes in pharmacological treatment of mental illnesses.

JeanAnne graduated from Georgetown University in Washington, DC, with a master’s degree in nursing as a Family Nurse Practitioner. She later received her doctorate in healthcare administration and a post-doctorate in psychiatric mental health from Rush University in Chicago, IL. She is board certified as a Psychiatric/Mental Health Nurse Practitioner, a Family Nurse Practitioner, and an Addictions Nurse Practitioner. She holds a master psychopharmacology and is currently in training for precision psychiatry.

JeanAnne is known for her many jobs – currently providing psychiatric services to over 14 clinics and facilities that treat mental illnesses across the lifespan, substance use disorders, and criminogenic programs. She has been a national speaker for PESI, Inc, educating health care providers on psychopharmacology and substance use. In 2019, she published her first book entitled I Can Do Hard Things: Tools to Manage Anxiety When Medication Isn’t Enough.

In her spare time, JeanAnne spends time with her two fantastic children, and enjoys the outdoors: hiking, camping, running, biking, skiing, swimming, and beaching. She is a cancer survivor and an animal lover.

Speaker Disclosures:
Financial: JeanAnne Johnson Talbert maintains a private practice and has employment relationships with Reflections Recovery Center, Maple Mountain Recovery Center, and Mountain View Hospital. She receives compensation as a consultant. JeanAnne Johnson Talbert receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: JeanAnne Johnson Talbert is a member of the American Psychiatric Association, the International Nurses Society on Addictions, the American Psychiatric Nurses Association, the Association for Addiction Professionals, the American Society of Addiction Medicine, the American Academy of Nurse Practitioners, the Oncology Nursing Society, the National Consortium of Breast Centers, and the Association of Community Cancer Centers.

Outline

• Case Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?
  In pregnant patients
  In general medical patients
  In surgical patients
• Why is This Topic so Important? And so Challenging?
  Biostatistics
  Actual relevance in practice
  Morbidity and mortality – complications of substance use disorders
• What Do These Substances Actually Do Within the Body?
  Pharmacokinetics and pharmacodynamics principles
  Reinforcement
  Tolerance and cross-tolerance
  Physical dependence
  Conditioning
  Sensitization
  Pregnancy-related complications
• What Substances Are We Talking About?
  Alcohol
  Sedative/Hypnotics
  Opioids
  Stimulants
  Dissociatives
  Inhalants
  Cannabinoids
  Anabolic steroids
  Club drugs
  Nicotine
• Street Drugs and Terminology
  Interpreting patient language
  What drugs are they talking about?
• Neurobiology of Substance Abuse: You Mean it’s Not a Choice?
  Neurobiology and anatomy of the normal brain
  Substance abuse as a brain disease
  Genetic and environmental influences
• Mental Illness and Substance Abuse “Dual Diagnosis”
  Co-occurring illnesses
  Traits and theories surrounding the two
• Screening and Assessment Techniques
  Effective questionnaires to screen for substance use
  Techniques to promote open and honest communication from the patient
  Working with the pregnant patient who uses substances
  Assessing your own biases – and how to not let them interfere with your work
• The Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency Treatments

  Anticipation/prevention of withdrawal symptoms
  Withdrawal protocols
  Medications to treat withdrawal symptoms
  Emergency treatments
  Treatment of the newborn following exposure to substances
  Safety for patients/family/staff
  Effective pain management
  Motivational interviewing – Assessing how to refer the patient following discharge from the hospital

Objectives

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Distinguish the terminology used to refer to street drugs today.
4. Argue the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

Target Audience
Addiction Counselors, Case Managers, Counselors, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Social Workers and other Healthcare Professionals

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